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HARBOR YOUTH STUDENT LEADERSHIP
AS A STUDENT LEADER, YOU ARE AN INFLUENCER
HARBOR YOUTH
STUDENT LEADERSHIP
APPLICATION
First Name
Last Name
Phone Number
Email
Gender
Male
Female
I'd rather not say
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
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5
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31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
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1935
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1937
1938
1939
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1941
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1943
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1945
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1947
1948
1949
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1951
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1955
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1957
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1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Grade
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Amount of time you have attended Harbor Youth:
What other areas are you serving in the church?
Are you "dating" or in the process of pursuing a relationship with anyone?
Yes
No
Please provide their name:
Please tell us about your other commitments?
Honestly describe how your relationship with God was in the past, how it is currently, and where you hope it will be in the future:
How would you describe your personality (Character Traits)?
What are your strengths (Abilities, Skills, Achievements, etc.) and weaknesses?
In what areas do you need to grow?
Briefly describe when and how you accepted Jesus Christ as your personal Savior and Lord:
Why would you like to be a Student Leader?
Do you currently tithe 10% of all your income and earnings? (Any money that you earn)
Yes
No
Please explain the context and reasoning behind your answer:
Facebook Username:
Instagram Username:
Tik Tok Username:
By checking "I agree", it means you will uphold all the expectations held for being a Harbor Youth Student Leader.
I AGREE
By checking "I agree", it means you will make it your ambition to live as an influencer, in church, outside of church, and every area of your life, needing not to be ashamed of any part of your life
I AGREE
If you are under the age of 18, by checking the "I agree" choice, it means you have effectively communicated with your parents/guardians about all of the requirements and expectations held of you, and they are in agreement.
I AGREE
Today's Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Parent Signature
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